Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT008097 | GA |
N | 225100000X | Physical Therapist | PT8097 | GA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 13099 | NC |
NPI | 1013969476 |
---|---|
Provider Name | Kristel V Maes |
First Address | Chapel Hill, NC 27517-4412 |
Second Address | Chapel Hill, NC 27517-4412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 25/06/2015 |